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All Journal Jurnal Kebidanan Midwiferia Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) The Southeast Asian Journal of Midwifery Manuju : Malahayati Nursing Journal Journal of Midwifery Medical and Health Science Journal Oksitosin : Jurnal Ilmiah Kebidanan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Jurnal Layanan Masyarakat (Journal of Public Service) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Jurnal AbdiMas Nusa Mandiri INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL KESANS : International Journal of Health and Science Kolaborasi Jurnal Pengabdian Masyarakat Journal for Quality in Public Health JUKEJ: Jurnal Kesehatan Jompa Al-Hayat: Natural Sciences, Health & Environment Journal Folia Medica Indonesiana
Gatut Hardianto, Gatut
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Airlangga
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Education Energy Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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EDUKASI KESEHATAN DASAR PANGGUL DAN LATIHAN KEGEL BAGI IBU HAMIL: PROGRAM KEMITRAAN MASYARAKAT Kurniawati, Eighty Mardiyan; Hardianto, Gatut; Wahyuningtyas, Riska; Rahmawati, Nur Anisah; Mustofa, Vina Firmanty; Safitri, Cahyani Tiara; Kurniawan, Agde Muzaky; Mardianti, Mardianti
Jurnal AbdiMas Nusa Mandiri Vol. 7 No. 2 (2025): Periode Oktober 2025
Publisher : LPPM Universitas Nusa Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33480/abdimas.v7i2.6447

Abstract

Cesarean delivery is associated with complications in pregnant women, including pelvic floor disorders. Kegel exercises can help maintain pelvic floor health and support normal delivery. This community service activity aimed to provide education on pelvic floor health and Kegel exercises to empower pregnant women at Pucang Sewu Public Health Center, Surabaya, in 2024. The program was conducted in three stages: preparation, implementation, and evaluation. Preparation involved coordination, planning, and developing a physical activity book for pregnant women. The implementation phase included education sessions and Kegel exercise training using a two-way communication method. Evaluation was conducted through pretest–posttest and observation of participants’ practice skills. The activity was attended by 27 pregnant women and 10 healthcare workers. The results showed increased knowledge and skills among participants after the training, indicated by higher posttest scores and active participation during practice. More than half of the participants had never exercised regularly before. This program effectively improved participants’ understanding and ability to perform Kegel exercises. The health center is expected to continue providing education to encourage pregnant women to practice Kegel exercises independently at home.
PERINEUM MASSAGE EDUCATION TO EMPOWER PREGNANT WOMEN IN PREVENTING PERINEAL RUPTURE AT PENELEH PUBLICH HEALTH CENTER SURABAYA 2023 Kurniawati, Eighty Mardiyan; Hardianto, Gatut; Wahyuningtyas, Riska; Rahmawati, Nur Anisah; Mustofa, Vina Firmanty; Safitri, Cahyani Tiara; Kurniawan, Agde Muzaky; Rustam, Mardianti
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 8 No. 2 (2024): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v8i2.2024.162-169

Abstract

The three highest causes of maternal death in Indonesia, which is bleeding. Severe perineal rupture or what is called OASIS can cause bleeding that can lead to death. This community service activity aims to provide education about perineal massage to empower pregnant women to prevent perineal rupture at the Peneleh Public Health Center, Surabaya in 2023. Partnership programs are needed to achieve the Sustainable Development Goals (SDGs) targets. The problem faced by partners is that even though pregnancy classes are running, they do not yet provide material on preventing perineal rupture and practicing perineal massage so mothers do not have an understanding of techniques for preventing perineal rupture. Apart from that, health workers have not mastered perineal massage techniques so they cannot provide their knowledge to pregnant women. Activities are carried out in the form of providing material and practice. The evaluation was carried out by administering a pretest and posttest for knowledge and assessment of perineal massage skills for pregnant women and health workers. The evaluation method used was the ability of pregnant women to perform phantom perineal massage exercises. Pregnant women are said to be able to do this if they can do it correctly. Providing education related to perineal massage can increase the knowledge and skills of pregnant women thereby supporting the prevention of bleeding. Suggestions for community health centers to improve education so that pregnant women are ready to do it independently at home and provide support to health workers to provide education to pregnant women.
Edukasi Pencegahan Prolaps Organ Panggul Pasca Kehamilan dan Persalinan: Program Kemitraan Masyarakat Kurniawati, Eighty Mardiyan; Hardianto, Gatut; Wahyuningtyas, Riska; Rahmawati, Nur Anisah; Mustofa, Vina Firmanty; Safitri, Cahyani Tiara; Kurniawan, Agde Muzaky; Mardianti, Mardianti
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 4 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i4.584

Abstract

Introduction:Pelvic organ prolapse is the descent of the pelvic structure into the vagina due to weakness of the ligaments or muscles. This complication can affect the quality of life of women in the future. One of the risk factors is related to pregnancy and childbirth. The health center is one of the health facilities that meet and make initial contact with pregnant women. Objective: This community service aims to empower health workers in preventing pelvic organ prolapse as a long-term impact that is at risk of occurring due to the physiological process of pregnancy and childbirth so that it can contribute to improving the quality of life of mothers. Method: This public service was conducted by the community service team from Universitas Airlangga on October 5, 2024, involving 27 pregnant women and 10 healthcare workers. The activities were designed to be participatory. Evaluation was carried out by providing pretests and posttests to pregnant women and health workers. Result: The activities carried out were providing materials on the introduction of Pelvic Organ Prolapse (POP), risk factors for POP related to pregnancy and childbirth, the impact of POP on women's quality of life, prevention of POP during pregnancy and childbirth, family support, and management if POP has occurred. The average pretest score was 76.00 (SD ± 5.2), while the average posttest score increased to 78.00 (SD ± 4.8). Statistical analysis indicated a significant increase in knowledge before and after the educational intervention (p < 0.05). Conclusion: The community partnership program proved effective in increasing participants' knowledge. It is recommended that this program be carried out regularly and expanded in scope to reach a broader audience, enhancing awareness and understanding of POP, particularly among pregnant women and healthcare workers.
Analysis of Risk Factors Associated with the Incidence of Placenta Accreta at an Indonesian Tertiary Hospital Cahyani, Aisha Grayli; Sandhika, Willy; Hardianto, Gatut
Folia Medica Indonesiana Vol. 60, No. 3
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights: 1. The increased incidence of placenta accreta is contributed significantly by parity classification, a history of cesarean section, body mass index, and interbirth interval. 2. The findings of this study can be used as an additional reference in determining the risk of placenta accreta in pregnant women, specifically as an input in screening and antenatal care programs for pregnant women to provide early detection and appropriate management. Abstract The incidence of placenta accreta during pregnancy constitutes a serious problem in reproductive health. This complication has increased significantly over the last few decades, especially in developed countries where cesarean deliveries have also risen. Placenta accreta spectrum can cause very severe bleeding and potentially lead to other serious complications. The purpose of this study was to analyze the risk factors associated with the incidence of placenta accreta in women giving birth at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. This quantitative study used an analytical observational research design, specifically the case-control approach. The study sample was all mothers who gave birth at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, between 2019 and 2023. In addition to a univariate analysis, the data were subjected to bivariate analysis using a two-sample independent t-test or Mann-Whitney test for ordinal data and for nominal data using the Chi-square test as well as multivariate analysis using logistic regression (p<0.05). The results showed that parity, a history of cesarean section, body mass index, and interbirth interval were the variables identified as significantly associated with placenta accreta. According to the logistic regression analysis, parity, a history of cesarean section, and a history of curettage were identified as the primary determinants of placenta accreta incidence. The classification of parity was found to have the most significant relationship to the incidence of placenta accreta. This study concluded that parity classification, a history of cesarean section, body mass index, and interbirth interval are the significant risk factors contributing to the increased incidence of placenta accreta at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
A-PRESERVE: Airlangga Perineal Repair Workshop for Health Service in Surabaya Kurniawati, Eighty Mardiyan; Wahyuningtyas, Riska; Hardianto, Gatut; Hadi, Tri Hastono Setyo; Putra, M. Dimas Abdi; Rahmawati, Nur Anisah
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 1 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i1.765

Abstract

Introduction: Perineal rupture is a common complication during childbirth that requires appropriate management to prevent further morbidity. The knowledge and skills of midwives and general practitioners in performing perineal tear suturing at primary health care centers are crucial to ensure optimal care and minimize the risk of complications while promoting faster recovery of patients. Objective: This community service activity aims to improve the knowledge and skills of midwives and general practitioners in suturing perineal tears through workshops and training at primary health facilities. Method: The workshop was attended by 40 participants, consisting of midwives and general practitioners, for 150 minutes. The activity included training on perineal anatomy, suturing techniques, post-repair management, and practical suturing simulation using a cow tongue model. Participants completed questionnaires covering demographic data, and pre- and post-tests consisting of 10 questions about perineal tear repair. Result: Most participants were women in the productive age range, with a majority holding bachelor's degrees. Only a few had prior experience attending suturing workshops. Pre-test results showed lower knowledge compared to post-test results. The mean rank for pretest was 26.18 while posttest was 54.83, with a p-value of 0.000, indicating a statistically significant improvement in participants’ knowledge after the intervention. Conclusion: The workshop were effective in enhancing the knowledge of midwives and general practitioners in managing perineal tears. The findings highlight the importance of routine technical training to elevate the quality of childbirth care in public health centers.
Early-Life Exclusive Breastfeeding History and Its Association with Primary Enuresis in Preschool Children Pharahita, Syifa Pandya; Hardianto, Gatut; Ningrum, Astika Gita
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.533

Abstract

Introduction:  Primary enuresis is a common developmental condition in preschool children and may negatively affect psychosocial well-being and family dynamics. Bladder control acquisition depends on neurological maturation, which can be influenced by early-life nutrition. Exclusive breastfeeding provides essential nutrients and bioactive components that support neurodevelopment. Objective: To analyze the association between early-life exclusive breastfeeding history and primary enuresis among preschool children. Methods: An analytic observational cross-sectional study was conducted in the working area of Lengkong Primary Healthcare Center, Nganjuk, Indonesia. A total of 228 children aged 3–6 years were included. Data were obtained using structured questionnaires completed by parents or caregivers. Associations were examined using the Chi-square test and binary logistic regression.   Result and Discussion The overall prevalence of primary enuresis was 43.0% and was higher among younger preschool children. Primary enuresis occurred more frequently among children without a history of exclusive breastfeeding than among those with exclusive breastfeeding (p < 0.001). In multivariable analysis adjusting for child age, sex, family history of enuresis, toilet training and drinking habits, sleep pattern, and autonomic-related complaints, breastfeeding history remained statistically associated with primary enuresis. Conclusions:  Early-life exclusive breastfeeding history is independently associated with a lower occurrence of primary enuresis among preschool children
EDUKASI KESEHATAN DASAR PANGGUL DAN LATIHAN KEGEL BAGI IBU HAMIL: PROGRAM KEMITRAAN MASYARAKAT Kurniawati, Eighty Mardiyan; Hardianto, Gatut; Wahyuningtyas, Riska; Rahmawati, Nur Anisah; Mustofa, Vina Firmanty; Safitri, Cahyani Tiara; Kurniawan, Agde Muzaky; Mardianti, Mardianti
Jurnal AbdiMas Nusa Mandiri Vol. 7 No. 2 (2025): Periode Oktober 2025
Publisher : LPPM Universitas Nusa Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33480/abdimas.v7i2.6447

Abstract

Cesarean delivery is associated with complications in pregnant women, including pelvic floor disorders. Kegel exercises can help maintain pelvic floor health and support normal delivery. This community service activity aimed to provide education on pelvic floor health and Kegel exercises to empower pregnant women at Pucang Sewu Public Health Center, Surabaya, in 2024. The program was conducted in three stages: preparation, implementation, and evaluation. Preparation involved coordination, planning, and developing a physical activity book for pregnant women. The implementation phase included education sessions and Kegel exercise training using a two-way communication method. Evaluation was conducted through pretest–posttest and observation of participants’ practice skills. The activity was attended by 27 pregnant women and 10 healthcare workers. The results showed increased knowledge and skills among participants after the training, indicated by higher posttest scores and active participation during practice. More than half of the participants had never exercised regularly before. This program effectively improved participants’ understanding and ability to perform Kegel exercises. The health center is expected to continue providing education to encourage pregnant women to practice Kegel exercises independently at home.
Hubungan Stres Dengan Kejadian Keputihan Pada Mahasiswa Kebidanan Fakultas Kedokteran Universitas Airlangga Tahun 2025 Rahmawanti, Nova; Hardianto, Gatut; Fatmaningrum, Widati; Andriyanti, Andriyanti
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2084

Abstract

Stres diduga menjadi faktor resiko yang berkontribusi terhadap terjadinya keputihan melalui mekanisme neuroendokrin dan imunologis. Penelitian ini bertujuan untuk menganalisis hubungan stres dengan kejadian keputihan pada mahasiswa kebidanan. Penelitian ini menggunakan desain analitik observasional dengan pendekatan case control yang dilaksanakan di Fakultas Kedokteran Universitas Airlangga pada Agustus 2025. Populasi pada penelitian ini yaitu mahasiswa kebidanan angkatan 2022, 2023, dan 2024. Sebanyak 131 responden melalui teknik random sampling. Pada penelitian ini memiliki 2 variabel yaitu stres sebagai variabel Independen dan kejadian keputihan sebagai variabel dependen. Data diperoleh melalui kuesioner DASS, kemudian dianalisis menggunakan uji Chi Square. Hasil penelitian menunjukkan bahwa 75% responden yang mengalami keputihan berada pada kondisi stress. Hasil uji statistik menunjukkan hubungan yang bermakna antara stres dengan kejadian keputihan (p=0,031). Berdasarkan hasil penelitian dapat disimpulkan bahwa manajemen stres penting dilakukan sebagai salah satu upaya mengurangi potensi terjadinya keputihan. Implikasi hasil ini menunjukkan pentingnya institusi pendidikan untuk menyediakan program manajemen stres guna mendukung kesehatan reproduksi mahasiswi.
Overview of Risk Factors Uterine Prolapse: A Literature Review Nisrina Salimah Putri; Eighty Mardiyan Kurniawati; Budi Utomo; Gatut Hardianto
Journal of Community Medicine and Public Health Research Vol. 7 No. 1 (2026): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v7i1.79223

Abstract

Uterine prolapse, a subtype of pelvic organ prolapse (POP), is characterized by the descent of the uterus into the vaginal canal due to weakening of pelvic floor support and connective tissues. Globally, POP affects approximately 2–20% of women, with higher prevalence reported in low- and middle-income countries, and uterine prolapse remains a significant contributor to morbidity among multiparous and postmenopausal women. Although not life-threatening, this condition substantially impairs quality of life through sexual dysfunction, urinary and bowel symptoms, and significant psychological distress. The purpose of this literature review is to summarize and analyze risk factors for uterine prolapse, with an emphasis on obstetric, biological, sociodemographic, and lifestyle factors consistently reported in recent research. A literature search was conducted using Google Scholar, PubMed, and ScienceDirect, and relevant articles published between 2018 and 2024 were identified, using keywords such as "pelvic organ prolapse," "uterine prolapse," and "risk factor." The findings indicate that multiparity, vaginal delivery, advancing age, menopause, obesity, and heavy physical workload are the most reported risk factors. Furthermore, chronic increases in intra-abdominal pressure and genetic predisposition have also been identified as contributing factors in several studies. Understanding these multifactorial determinants is essential for healthcare providers to implement early prevention measures, provide better patient education, and improve the overall management of uterine prolapse, thereby enhancing the wellbeing of affected women across various clinical settings.
Hubungan Tingkat Pengetahuan Keputihan dengan Perilaku Hygiene Genitalia Pada Wanita Usia Produktif Dwi Widyaningrum; Gatut Hardianto; Lilik Djuari
Malahayati Nursing Journal Vol 6, No 10 (2024): Volume 6 Nomor 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i10.13783

Abstract

ABSTRACT Vaginal discharge is a common complaint among women of childbearing age, reproductive age, and puberty. It can occur at all ages, including the productive age. Of all the diseases experienced by women worldwide, 33% are reproductive health problems caused by a lack of knowledge about vaginal discharge. This research is an analytical observational study with a cross-sectional approach. The sample was obtained using purposive sampling, and data from 78 productive-age female respondents. Research instrument using a questionnaire. The statistical test used was Spearman's Rank correlation test. The study shows that 33 individuals (42%) have good knowledge about vaginal discharge, while 41 respondents (53%) have sufficient genital hygiene behavior. The statistical test result with α=0.01 obtained a significance value of p=0.000 and a correlation coefficient value of 0.494. The value of p α indicates a significant relationship between the level of knowledge about vaginal discharge and genital hygiene behavior with a moderate correlation. The statistical test results with α=0.05 indicate a significant relationship (p0.001) with a correlation coefficient of α =0.494 means that there is a significant relationship between the level of knowledge about vaginal discharge and genital hygiene behavior with a moderate correlation. Keywords: Vaginal Discharge, Genital Hygiene, Knowledge, Behavior, Productive Age Women  ABSTRAK Keputihan merupakan keluhan umum dikalangan wanita usia subur, usia reproduksi, dan pubertas. Keputihan dapat terjadi pada semua usia termasuk usia produktif. Dari semua penyakit yang dialami wanita di dunia, 33% adalah masalah kesehatan reproduksi yang diakibatkan oleh minimnya pengetahuan tentang keputihan. Penelitian ini bersifat analitik observasional dengan pendekatan cross sectional. Teknik pengambilan sampel  dengan purposive sampling didapatkan data 78 responden wanita usia produktif. Instrument penelitian menggunakan kuisioner. Uji statistik yang digunakan adalah uji Spearman's Rank. penelitian menunjukkan 33 responden(42%) memiliki pengetahuan yang baik tentang keputihan, sedangkan 41 responden (53%) memiliki perilaku hygiene genitalia yang cukup. Hasil uji statistik dengan α=0,05 diperoleh nilai signifikansi p0,001 nilai koefisien korelasi (0,494) terdapat hubungan yang bermakna antara tingkat pengetahuan tentang keputihan dengan perilaku hygiene genitalia dengan korelasi sedang. Kata Kunci : Keputihan, Hygiene Genitalia, Pengetahuan, Perilaku, Wanita Usia Produktif
Co-Authors Adelia Ayu Qurrotul Jannah Aisha Grayli Cahyani Akhmad Risdianto Andriyanti, Andriyanti Anggreini Wahyu Prastika Anis Widyasari Arum Dewi Pusparini Aulia Rahma Oktaviya Azami D Azinar Boedi Setiawan Budi I Santoso Budi Santoso Budi Utomo Budi Utomo Budi Utomo Cahyani, Aisha Grayli Denas A, Azami Denas, Azami Dewi Setyowati Dini Lukita Hapsari Dony Rosmana Dony Rosmana Bimantara, Dony Rosmana Dwi Widyaningrum Eighty M Kurniawati Eighty Mardiyan K, Eighty Eko Budi Koendhori, Eko Budi Endyka Erye Frety Fariska Zata Amani Farisya Nurliana Fatin Fatin, Farisya Nurliana Febe Ernila Fedik A Rantam Fitriana, Farida Hadi, Tri Hastono Setyo Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hari Paraton Harlina Harlina Hartono S, Tri Henky Mohammad Masteryanto Hermanto Tri Joewono Icha Nur Oktaria Isnin Anang Marhana Ivon Diah Wittiarika Izzati, Dwi Jayanti, Ratna Dwi Juniastuti Juniastuti Kanda Izzatul Aini Ardelia Kartuti Debora MS, Kartuti Kartuti Debora, Kartuti Kasiati Kasiati Kiki Apnita Sari Kurniawan, Agde Muzaky Kusumastuti, Etty Hari Latifah, Nur Faridah Lilik Djuari Mardianti Mardianti, Mardianti Martono Tri Utomo Maulidia Fahmadina Rozana Mei Indarti Mokhamad Anhar Dani Muhammad Miftahussurur Mustofa, Vina Firmanty Nila Kurniasari Ningrum, Astika Gita Nisrina Salimah Putri Norma Pattinama Nur Anisah Rahmawati Nur AR Widiatmoko Nuswantoro, Djohar Panada Sedianing Drastita Pharahita, Syifa Pandya Prisca Desyani Kia Putra, M. Dimas Abdi Rahmawanti, Nova Rahmawati, Nur Anisah Reca Dwi Putri Suswanti Riani Widia Parantika Rim Kosim Rozy Dian Putri Rozy Rustam, Mardianti Safitri, Cahyani Tiara Samsriyaningsih Handayani Sari, Gadis Meinar Setyo Hadi, Tri Hastono Suswanti, Reca Dwi Putri Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi Tri HS Hadi Wahyul Anis Wahyuningtyas, Riska Widati Fatmaningrum Widjiati Widjiati, Widjiati Willy Sandhika Yuli Triyani Zakira, Safira